| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
36,860 |
3,144 |
$7.99M |
| 90945 |
|
13,050 |
507 |
$962K |
| A4657 |
Syringe, with or without needle, each |
47,239 |
3,999 |
$313K |
| J3490 |
Unclassified drugs |
26,100 |
1,595 |
$179K |
| J0604 |
Cinacalcet, oral, 1 mg, (for esrd on dialysis) |
5,387 |
476 |
$100K |
| J0882 |
Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis) |
248 |
75 |
$33K |
| J1756 |
Injection, iron sucrose, 1 mg |
10,004 |
2,067 |
$14K |
| J0887 |
Injection, epoetin beta, 1 microgram, (for esrd on dialysis) |
4,287 |
2,409 |
$7K |
| J1270 |
Injection, doxercalciferol, 1 mcg |
2,664 |
290 |
$5K |
| 90662 |
|
148 |
144 |
$798.81 |
| J2501 |
Injection, paricalcitol, 1 mcg |
174 |
24 |
$665.40 |
| J1644 |
Injection, heparin sodium, per 1000 units |
16,177 |
1,549 |
$71.00 |
| G0008 |
Administration of influenza virus vaccine |
146 |
142 |
$13.23 |
| 83970 |
|
224 |
196 |
$1.47 |
| 84466 |
|
158 |
149 |
$0.45 |
| 83540 |
|
210 |
196 |
$0.23 |
| 84295 |
|
211 |
194 |
$0.17 |
| 82728 |
|
64 |
59 |
$0.00 |
| 87340 |
|
106 |
97 |
$0.00 |
| 86706 |
|
35 |
32 |
$0.00 |
| Q5105 |
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units |
2,224 |
230 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
33 |
29 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
15 |
15 |
$0.00 |
| 90747 |
|
15 |
15 |
$0.00 |
| 86704 |
|
16 |
15 |
$0.00 |